🔹 Job Title: Medical Content Analyst - Content Innovation
🔹 Company: TBC Corporation
🔹 Location: Manila, Philippines
🔹 Job Type: Full-Time
🔹 Category: Healthcare, Medical
🔹 Date Posted: April 4, 2025
🔹 Experience Level: 5-10 years
🔹 Remote Status: On-site
Key aspects of this role include:
ASSUMPTION: This role requires a strong clinical background and experience in medical billing, coding, or claims processing. The ideal candidate will have a deep understanding of medical coding guidelines and be able to interpret and apply them effectively.
✅ Evaluate analytics reports and medical claims to identify new claims editing opportunities
✅ Contribute to the content topics backlog for editing consideration
✅ Function as a subject matter expert for current claims auditing and medical coding scenarios to expand editing outcomes
✅ Provide content knowledge transfer to colleagues for rule development
✅ Solve problems related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion with Lyric business rules
✅ Responsible for making recommendations within the software for the denial of diagnosis, age, or other criteria on medical claims based on coding guidelines
ASSUMPTION: This role requires a high level of attention to detail and the ability to analyze complex medical information to identify potential savings opportunities.
Education: BS Nursing, BS Pharmacy, or equivalent required
Experience: 4 years’ experience in medical billing, coding, claims processing, bill and/or chart review/auditing, is required. Previous experience working with US health insurance payers in a claims, appeals, or coding capacity is also required
Required Skills:
Preferred Skills:
ASSUMPTION: While certification as a Coding Specialist or Professional Coder is required, relevant experience and a strong clinical background are equally important for success in this role.
Salary Range: The salary range for this position is not provided. However, based on industry standards for a Medical Content Analyst with 5-10 years of experience in the Philippines, the estimated salary range is PHP 600,000 - PHP 900,000 per year.
Benefits:
Working Hours: Full-time position with standard working hours (Monday-Friday, 8:00 AM - 5:00 PM). Overtime may be required as needed.
ASSUMPTION: The provided salary range is an estimate based on market research and may vary depending on the candidate's qualifications and experience.
Industry: Healthcare technology, specifically focused on payment integrity and accuracy for health plan payers
Company Size: 1,001-5,000 employees, which means the company has a well-established structure with multiple departments and teams. This size offers opportunities for growth and career advancement.
Founded: 1956, originally as a tire company, but has since expanded into healthcare technology
Company Description:
Company Specialties:
Company Website: http://www.tbccorp.com
ASSUMPTION: TBC Corporation has a strong track record in the healthcare technology industry and is committed to delivering value to its customers through innovative solutions.
Career Level: Mid-level, with opportunities for growth and advancement within the company
Reporting Structure: This role reports directly to the Content Innovation team and works closely with various departments, including Analytics, Product, and Engineering
Work Arrangement: On-site, with the possibility of occasional remote work for qualified candidates
Growth Opportunities:
ASSUMPTION: This role offers opportunities for professional growth and development within the company, as TBC Corporation continues to expand its healthcare technology offerings.
Office Type: Corporate office environment with a focus on collaboration and innovation
Office Location(s): Manila, Philippines
Geographic Context:
Work Schedule: Standard full-time work hours, with the possibility of occasional overtime or flexible scheduling
ASSUMPTION: The work environment at TBC Corporation's Manila office is collaborative and innovative, with a focus on driving results through teamwork and continuous improvement.
Typical Process:
Key Assessment Areas:
Application Tips:
ATS Keywords: Medical Content Analyst, Claims Editing, Medical Coding, ICD-10-CM, Denial Management, Analytics, Problem-Solving, Clinical Expertise
ASSUMPTION: The interview process at TBC Corporation is designed to assess the candidate's clinical knowledge, problem-solving skills, and cultural fit with the company and team.
ASSUMPTION: The tools and technologies required for this role are standard in the medical coding and claims editing industry. Proficiency in these tools is essential for success in the position.
Company Values:
Work Style:
Self-Assessment Questions:
ASSUMPTION: TBC Corporation values candidates who are innovative, collaborative, and results-driven, with a strong commitment to customer focus and integrity.
ASSUMPTION: These challenges can be overcome through a strong clinical background, attention to detail, effective communication skills, and a results-driven approach.
ASSUMPTION: This role is unique in its focus on claims editing and medical coding for health plan payers, offering a specialized career path within the healthcare technology industry.
ASSUMPTION: These sample projects demonstrate the range of responsibilities and initiatives that a Medical Content Analyst - Content Innovation may undertake in this role.
ASSUMPTION: These interview questions are designed to provide insight into the team dynamics, company culture, and growth opportunities within TBC Corporation.
To apply for this position:
⚠️ This job description contains AI-assisted information. Details should be verified directly with the employer before making decisions.